The Vermont Petition for Issuance of Order Confirming Gender Reassignment is a legal document designed to allow transgender individuals to change the gender marker on their birth certificate to accurately reflect their gender identity. The document is used to initiate the process of legally changing the gender on a birth certificate in Vermont. There are two types of Vermont Petition for Issuance of Order Confirming Gender Reassignment: one for those who have already had gender reassignment surgery, and one for those who have not. The Vermont Petition for Issuance of Order Confirming Gender Reassignment for those who have already had gender reassignment surgery requires a letter from a physician who has seen the petitioner and can confirm that they have had gender reassignment surgery. The petitioner must also provide proof of identity, such as a driver's license, passport, or other government-issued document. The Vermont Petition for Issuance of Order Confirming Gender Reassignment for those who have not had gender reassignment surgery requires a letter from a mental health professional who has seen the petitioner and can confirm that the petitioner has a gender dysphoria diagnosis, as well as proof of identity. Once the Vermont Petition for Issuance of Order Confirming Gender Reassignment has been completed, it must be filed with the Vermont Department of Health. Once the petition is approved, the petitioner can then apply for a new birth certificate with the updated gender marker.